Physician Compare National (NPI:1316126048)

HEALTHCARE PROVIDER: SPRING PAGE GAWKOWSKI LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316126048
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042362253
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090723000161
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GAWKOWSKI
	Individual professional last name
Provider First Name	SPRING
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	12161 KEN ADAMS WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	221 ADVANCED PSYCHOEDUCATIONAL SERVICES
	Group Practice or individual's line 2 address
City	WELLINGTON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334143192
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5617973219
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y